Effect of Endotracheal Tube Size and Cuff Pressure on Incidence of Postoperative Sore Throat: Comparison between Three Facilities

2019 ◽  
Author(s):  
Yasser Hammad
Keyword(s):  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Postoperative Sore Throat ◽  
Tube Size ◽  
Endotracheal Tube Size

Impact of endotracheal tube size and cuff pressure on tracheal and laryngeal mucosa of adult horses

2021 ◽  
Author(s):  
Tatiana H. Ferreira ◽  
Molly Allen ◽  
Diego De Gasperi ◽  
Kevin A. Buhr ◽  
Samantha L. Morello
Keyword(s):  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Tube Size ◽  
Laryngeal Mucosa ◽  
Endotracheal Tube Size

scholarly journals Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial

2019 ◽  
Author(s):  
Yahong Gong ◽  
Xiaohan Xu ◽  
Jin Wang ◽  
Lu Che ◽  
Weijia Wang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Thyroid Surgery ◽  
Cuff Pressure ◽  
Controlled Trial ◽  
Laryngeal Mask ◽  
Postoperative Sore Throat ◽  
Randomized Controlled

Abstract BackgroundSore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforced LMA (FLMA) in thyroid surgery. The purpose of this study was to explore the potential benefits of FLMA compared with ETT on postoperative sore throat.MethodsIn this prospective, single-blinded, randomized, controlled trial, ninety-six patients aged 20-80 years, scheduled for elective radical thyroidectomy under general anesthesia were enrolled. They were randomly divided into ETT group and FLMA group. All the included patients received total intravenous anesthesia (with propofol, fentanyl and rocuronium) and controlled mechanical ventilation during the surgery. Cuff pressure of ETT and FLMA were strictly controlled. Incidence and severity of postoperative sore throat, numbness and hoarseness at 1, 24, and 48 h after surgery was evaluated and compared between the two groups. Incidence and severity of buckling during extubation and the hemodynamic profile during intubation were also recorded and compared.ResultsThe incidence of sore throat and hoarseness was significantly lower in FLMA group than those in ETT group at 1h, 24h and 48h postoperatively, as well as the severity of sore throat. Compared to ETT group, there was a significantly lower incidence of buckling during extubation and less fluctuation of HR and BP at 1min and 3min after intubation in FLMA group.ConclusionsPostoperative sore throat and hoarseness was improved in patients undergoing thyroid surgery with FLMA when compared with ETT. The use of FLMA also achieved less buckling during extubation and better hemodynamic profiles during intubation.

scholarly journals Evaluation of Endotracheal Tube Cuff Pressure in Laparoscopic Cholecystectomy and Postoperative Sore Throat

2018 ◽  
Vol 15 (3) ◽  
pp. 282-285 ◽  
Author(s):  
Gajal Lakhe ◽  
Surendra Mohan Sharma
Keyword(s):  
Nitrous Oxide ◽  
Laparoscopic Cholecystectomy ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Cuff Pressure ◽  
Study Group ◽  
Endotracheal Tube Cuff ◽  
Postoperative Sore Throat ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure

Background: The use of nitrous oxide and carboperitoneum in laparoscopic cholecystectomy lead to increase in endotracheal tube cuff pressure. It may impair tracheal mucosal perfusion with subsequent tracheal damage. The purpose of this study was to evaluate cuff pressure and incidence of post-operative sore throat in patients undergoing laparoscopic cholecystectomy.Methods: In this prospective observational study, 128 patients aged 18-65 years of American Society of Anesthesiologist physical status I and II undergoing laparoscopic cholecystectomy were enrolled and allocated alternately into two groups, Study Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/nitrous oxide mixture; 40/60), Control Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/air mixture; 40/60) were analysed and comapared. Each group contained 64 patients. Aneroid manometer was used to monitor cuff pressure. Volume of air used to inflate the cuff, baseline cuff pressure, comparison of intraoperative cuff pressure and incidence of postoperative sore throat were measured.Results: The study results demonstrated higher cuff pressure in study group at all times after the creation of carboperitoneum (p=0.00) with increased incidence of sore throat(p=0.004).Conclusions: Increase in endotracheal tube cuff pressure was noted with the use of nitrous oxide in laparoscopic cholecystectomy with subsequent post-operative airway complication. Monitoring of cuff pressure is simple, noninvasive and efficient way of achieving therapeutic cuff pressure of 20-30 cm of H2O and thus recommends its use. 

SORE THROAT – DOES ENDOTRACHEAL TUBE SIZE REALLY MATTER?

1989 ◽  
Vol 71 (Supplement) ◽  
pp. A458
Author(s):  
J. E. Wilson ◽  
D. W. Ozinga ◽  
V. L. Baughman
Keyword(s):  
Endotracheal Tube ◽  
Sore Throat ◽  
Tube Size ◽  
Endotracheal Tube Size

scholarly journals Laryngeal mask airway reduces incidence of post-operative sore throat after thyroid surgery compared with endotracheal tube: a single-blinded randomized controlled trial

2019 ◽  
Author(s):  
Yahong Gong ◽  
Xiaohan Xu ◽  
Jin Wang ◽  
Lu Che ◽  
Weijia Wang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Thyroid Surgery ◽  
Cuff Pressure ◽  
Controlled Trial ◽  
Laryngeal Mask ◽  
Postoperative Sore Throat ◽  
Randomized Controlled

Abstract Background: Sore throat is a remarkable complication after thyroid surgery with endotracheal tube (ETT). Many studies revealed that laryngeal mask airway (LMA) might reduce the incidence and severity of postoperative sore throat. However, little is known about the use of a flexible reinforced LMA (FLMA) in thyroid surgery. The purpose of this study was to explore the potential benefits of FLMA compared with ETT on postoperative sore throat. Methods:In thisprospective, single-blinded, randomized, controlled trial, ninety-six patients aged 20-80 years, scheduled for elective radical thyroidectomy under general anesthesia were enrolled. They were randomly divided into ETT group and FLMA group. All the included patients received total intravenous anesthesia (with propofol, fentanyl and rocuronium) and controlled mechanical ventilation during the surgery. Cuff pressure of ETT and FLMA were strictly controlled. Incidence and severity of postoperative sore throat, numbness and hoarseness at 1, 24, and 48 h after surgery was evaluated and compared between the two groups. Incidence and severity of buckling during extubation and the hemodynamic profile during intubation were also recorded and compared. Results:The incidence of sore throat and hoarseness was significantly lower in FLMA group than those in ETT group at 1h, 24h and 48h postoperatively, as well as the severity of sore throat. Compared to ETT group, there was a significantly lower incidence of buckling during extubation and less fluctuation of HR and BP at 1min and 3min after intubation in FLMA group. Conclusions:Patients undergoing thyroid surgery with FLMA had less postoperative laryngopharyngeal symptoms when compared with ETT. The use of FLMA also achieved less buckling during extubation and better hemodynamic profiles during intubation.

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